Lupus & antiphospholipid syndrome

Machine learning: Predicting hospital length of stay in patients admitted for lupus flares

LupusPublished Retrospective cohort study

Authors' conclusion

Our results were consistent with the established literature and showed promise in ML over traditional methods of predictive analyses, even with rare rheumatic events such as lupus flare hospitalizations.

Study context

Population
Patients admitted for systemic lupus erythematosus (SLE) flares, National Inpatient Sample Database 2016–2018; 90 demographic and comorbidity features
Participants
5,831 patients
Exposure
Four machine learning (ML) models for predicting length of stay (LOS)
Outcome
Prediction of hospital LOS (accuracy, ROC-AUC, PR-AUC, F1-score)
Methodological detailsmachine learning prediction models, National Inpatient Sample Database 2016-2018, SHAP feature importance
  • Machine learning prediction models
  • National Inpatient Sample Database 2016-2018
  • SHAP feature importance

Main finding

As reported in the abstract

Prediction of hospital LOS (best-performing model)
GroupROC-AUCPR-AUCF1 scoreAccuracy
XGB0.870.610.5695%

XGB

ROC-AUC0.87
PR-AUC0.61
F1 score0.56
Accuracy95%

Observational data: associations, not effects.

Further findings

Features with most impact on LOS (SHAP)

Most significant: need for a central line, acute dialysis, acute renal failure
Other top features: renal and infectious comorbidities

Original publication

Machine learning: Predicting hospital length of stay in patients admitted for lupus flares. Lupus. Published 13 October 2023. doi:10.1177/09612033231206830

Composed by AI from the published abstract and checked against it. How Briefs are made →

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